3981 Peridot Path
Use BLUE or BLACK Ink
For Office Use
'
Permit q
City of EaEd11 I I
I Permit Fee: 3-0,60
3830 Pilot Knob Road I i
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:
2010 SEWER AND WATER REPAIR/ DISCONNECT PERMIT
Date: C7 - 7`0 Fee: $50.50
City Sewer City Water Repair Disconnect
Description Of Work: ,/-I gin-w a 6io(A Y''C oo", V- 0V\ lo-q t)C e' h"e
Street Address for Proposed Work ~G1 b} PCA-~I^
Name: V eyy' j 140 Phone: 5 'use -~z 15
OWNER Address / City / Zip;
Applicant is: Owner -2( Contractor
Licensed Pipelayer 4- Master Plumber Property Owner
Name: P I la- fVl'p_ I f D , Phone: JI y ~~oZZ
Address / City / Zip: 2Z 7 O )q~ -Rd • aJT -Pay1 )`I\m 55 I 1
Pipelayer Training Certification Card W35 or Master Plumber License
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is
not to start without a permit.
f~l lc.k k~ int. t"F ,
Applicant (Print Name) A nt s Signature
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org
CITY OF EAGAN *,.?? ? ? .•*; ?
3630 Pilot ICnob Road, P.O. Box 21-199, Eagan, MM 55121 PHONE: 454-8100 . .
BUILDING PERMIT Receipt #
To be used for MINDM Est. Value $8 rOW 3" 9 , ? 9!
Site Address 3981 PEItIDO'i PwTH
Lot 1.0_ Block 7 Sec/Sub. -CED/lR Gg4YE 6T11
Parcel No.
W Name
a Addre;
Z? Name LZ?OI•D COHSTRUCTION CO
$ Q Address 3 74 g ULMOR'r LN
? City NAPIE1iC10D Phone 774-%22
?
?W Name
Phone
that I have read this application and state that the
and agree to comply with all applicable State of
AI
on
Building Official
OFFICE USE ONLY
Occupancy _ FEES
Zoning -
(Actual) Const _ Bidg. Permit 99.00
(Allowable) - 5urcharge 4.00
# ot Stories -
Length _ Plan Review
Depth - SAC, City
S.F. Tnia! - SAC, MGWCC
S.F. FoolpriMs -
On Site Sewage _ tiNater Conn
On 5ite Well - Water Meler
Mwcc sy5lem -
_
City Water
l. Oeposit
Acc
PRV Required _ S/W Permil
Boaster Pump - S/W Surcharge
Treatment PI
APPROYALS Road Unii
Planner
-
Council
Park Ded.
?
BIdg.Off. _
Copies
Variance - TOTAI 103.00
Permit No. Permit Holder Date Telephane #
WATER
SEWER
PIUMBING
H.VA.C.
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Fough Htg.
Isul.
Fireplace
Final Htg.
flrstat Test
Final Plbg. Plbg.lnspector - NotifyPlumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
??? v
INSPECTION REC4RD
I C1TY OF EAGAN PERMIT TYPE: t " r W`'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
? (612) 681-4675
` SITE ADDRESS: APPLICANT:
? ? 1?1 Y:11???f f•lt(!t ,? !i' t??i??ir ? r;i l.: ? I rl1l???
? PERMIT SUBTYPE: TYPE OF WORK:
I IPJSPECTION ,. .,
??? .?
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Uate Insp. Comments
Footings I
Foundation
Framing
Roofing 7
fti-
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Me1er
EngrJPlan
Bldg. Final
Deok Ftg.
Deck Finai
Well
Pr. Disp.
CiTY OF EAGAN Remarks Sew & wtr permits and wtr &sew conn. .. on 5-9-69
Addition Cedar Grove #6 Lot 10 Rlk 7 Parcel 1 n 16705 loo 07
Owner, -JurQ Gi -I I 0 o screet 3981 Peridot Path State EaKan,MN 55122
mai
Improvement D.I. Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
#SEWER LATERAL Z ? O ? 2.00 20 P3i
WATERMAIN
# WATER LATERAL 1970 20
WATER AREA
*STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 210.00 1
9UILDING PER.
SAC 200.00 1409 - g-l;?-69
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owne: -f..t,r....?- - ----- ------- L.d-.c.?
y /?? ._ . - . ...------.._-
Address (Precenf) ..,,d--o---..._?-G---'-...--lp---...._.._...---
Builder .............._"'---........
Addreas .... .......................
N° 2011
Eagan Township
Town Hatl
S?/
Dale _ .1-?C.,? .................
Stories To Be Usad For- F:onf Depih Heigh2 Esi. Cos! Pesmii Fee Remarks
? ? •N - --- - /S ?- /e-e °" lo i ,a?, ?? ??-?--?
LOCATION
5freet, Aoed or olher Deseriplion of Locafion I Lo! I Bloek I Addition oz Traef
Thia permit doen not aulhorise the use of s3reels, roads, alleps or si ew s or does i3 give the owner or his aqen!
the righf !o cseale any situafion which is e nuisanae or which presenis a hezard So the health, safety, conveniance and
general welfare !o anpone in the eommuniiy.
THIS PEAMST MUST BEOKEP"T ON TqH?E PAEMISE WHILE THE WOAK IS IN PROGRE S. -" up
This is to cerfify. Sha!__ permission !o erec! aa7?..?. ..._---_..---_ on
?j .' ._.... __.'-
!he above desaribed premise subjeci io the provisiona of the Building Ordinanee for Eagan "Cownship a opted April 11,
1955.
"'--' .. ..._ . . ..-' '- -- ... ....__ .. - - - ......_....---'
....... . ............................. Per .._......? - ------ 4??......e-9-?..........--......
Ch irman of Tnwn Board Suilding Inepecfor
416.
CITY OF EAGAN N2 19656
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT PHONE: 454•8700 G i S o? C? 1
Receipt #
Tobeusedfor WINDOWS Est. Value $$,000 Date SEP 9 , 1991
Site Address 3981 PFRiDOT PATH
Lot ? Block 7 SeGSub. CEDAR GROVE 6TH oFFICE USE oNLV
PefC01 N0. Occupancy T FEES
Zaning _
w Name JERALD & BEV HOFF (ACtuaq Const eldg
Permit 99 • 00
- .
? Address 3981 PERIDOT PATH (Allowa6le) -
4
00
p City EAGAN Phone 454--6215 /ofstones - Sumharge _
Plan Review
Length _
F Name LEGVOLD CONSTRUCTION CO Depih SAQ Cit
?
$
Address 374 E BELMONT LN
s.F.rotai _
- y
? City t1APLEW00D Phone 774-9422 SF Footprints _ SAC,MCWCC
W
C
On Site Sewage ater
onn
? W Name on sae wen
W
M
w
AddfBSS
MWCCSystem -
_ atar
eter
g W City Phone Cdy Waler _ Acc1. Deposn
PRV Reqmred - ShV Permit
I hereby acknowlege ihat I have read this application and state that Ihe Baoster Pump - Siw Surcharge
inbrmation is correct and agree lo comply wrth all applica6le State of
Minnesola StaWtes antl Cgq
VE
a
gan Oa ? Treatment PI
?
i
?
SignaWre of Perrnilee 1?'?`?? AP7ROVALS qoad Unil
A Building Permit is issued t?VOLD eONSTRU Planner - park Ded,
on Ihe express condition iha[ all work shall be done in accordance wilh all Counctl
applicable State oi Minnesota
tatutes and C
S
i
ty of Eagan Ordmances. Bldg. Olf. _ Copies
?
(
1
)
Building OHicial ?? R,D7 I rn Q
i ?`? Variance _ TOTAL 103. VU
11 &L ??9/?7
'
337
?0 6
v?
?
y
o
Reques ate Fre No f-T RbUg I ? P- Yetl
n, Ins xlion Olher Than Rough-ln
c (Vou m
dyl qeady Now? WAI oLy Inspeclor
t?
? Ves Date Reatl
IX licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atlaress (Street, Box ar Raute No ) Ciry
3qFS 1 Pe-ricAo-f Pa--EI1
Section No Township Name or No Range No. Couny
n
Q/?PSJI ?.
OccuOan[(PRINn Phone No.
/h+'4-m 0f4" GLrS
Power Supplier Atltlrass
Eleclncal Contractor(Company Name) VactoYS L¢ensa No
Con
1'le.t3 a. I, -c- CA 07-Z6'4
MaAing Atltlress (COnirecbr or Owner Making Installaiion)
s60s z744- IL.e, 50 1s m JY4/i7
Pmhorrzetl SignaNre (COntracrotlOwner Makmg Installalion) Phone Number
C ?zi- 69G?
MINNESOTA STATE BOARD OF LECIAICRY THIS INSPECTION REQUEST WILL NOT
GNgga-Mitlway Bltlg. - floom S12B
II
I
I
I I
I? I
II
II
II
II BE ACCEPTED BY THE STATE BOARD
7821 Oniverslry Ava., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phom (612)64P-11800 ENCLOSEQ
FOR ELECTRICAL INSPECTION /
/ (o_ JREa UEST 4?"* Ee/ -o:o///o??!oi o?s,
? -/
F `% u L a
10. Sae msWClions for compleLng Ihis form on beck oi yellow aopy
"X" Below Work Covered by This Request
Ne Add Rep. Type of Bmlding Ap - ' Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemeni
Comm./lndustnal Fumace Other (Specify)
Farm Air Condilloner
Other (specity) Conh, c[ors Femarks p
FQ,GO1!r14.C? d ? r COJ7?. ??Uf ?IPCC
Compufe Inspechon Fee Below: e?QCG/YLC,n
N Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 700 -Amps
SIgnS Inspector's U. Only TOTAL
Irrigation eooms {?j /? • G(/ ZC.S, S'o
Special Ins ection ?
Alarm/Communication THIS INSTALLATION MAY BE O BEF}-D15c;ONNECTED IF NOT
Other Fee COMPLETED WITHIN YB MONTHS.
I, the Electncal Inspector, hereby
d
th
t th
c
b
ti
h Rough-in
? oare
ity
a
ove inspec
e
e a
on
as
besn made. Finai / -l L- oa?G
OFFICE USE ONLV
This requesl voitl 18 months irom
City of Eapn
3830 Pflot Knab Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------Us-e ----------,
? Fo?Office .y I
j Permitk:
, -?
?
? Permit Pee:
I ? I
? Date Recerved:
I Stan. ?
1 ?
_________________1
2oo8 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O - /J-0 k Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Tee-6tLt Phone:
-?
Address / City / Zip:
Applicant is: _ Owner XContractor
TYPE OF WORK Description of work: Teo-I f`+" ?,u
Construction Cost: '?0oU Mutti-Family Building: (Yes No f:LC-j7
2_o`{(o(a97 I
'? C+?1""f+u? ?_% Li
il
9
U ?
ef?
CONTRACTOR cense
:
y,
?
-•
Name:
Address: W /?Ii.N ?t•
City: /?`2 State: /tir' Zip: 5?7?
?
Phone: 71?F ''f?- Z- Contact Persnn: t? ?°'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Etle?gy Code . Residen6al VeMilazion Gategory 1 Worksheet • New Energy Gode Worksheet
Category sutmitted suemined
(4 submission type) • Enwgy Emelope Calcuiatinns Submiued
In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a master planl
_Yes _No If yes, date and address of master plan:
Lieensed Plumber: Phane:
Mechanical Contrador: Phone:
Sewer & Watar CoMractor; Phone:
NOTE: Plans and suppnrting dneuments that ynu submit are consrdered in be publ/c informffiion. Purtlnns nf
the informatlon may be classlfled as non pub/ic il you piovlde speclflc reasons fhat wauld pe?mR the Clty to
conclude that the aie irade secrets.
I hereby acknowledge tha[ this irdorma¢ion is wmplete and accurate; that ihe urork will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permi4 hut only an applirafion fa a parmit, and ewrk is not to start without permit; thet ihe wark will 6e in
accordance mnth the appraved plan in the case of vrork which requires a reNew and approv
X ?,?K?,1I ?d . --
x ,
ApplicanYs Prinfed Name Applicalfli 's Sig iure
Page 1 of 3
39J-1 &adof /'wW
,?;.
,???; ?`N',
?
- city of esgan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11
11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
TOTAI 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Ed Kirscht "
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EK/je
1991 BUI !I APPLICATION
CITY OF EAGAN
SZNGLE FAMILY DWELLINGS LWIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSllED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:-F'?'-r'?t-L- ?I; A:aa Valuation?Date: ?`"9" ?K
Site Address
Lot 11) Block *1_
Parcel/Sub 0'L(? Glk,
Owner jc-KA Lcj H ?` FF
Address ? ? `?o / -FC k?,'cbo-F 1',l-T ?
City/Zip Code I?R? Hn%1 Ni,t? 57S l-1?
Phone Y??? ?(" ?? 1 s
Contractor 4E ? 1FC^L /7 Cl, cu 57- T0."0
Address 57q E-, 860KoNT ?,wVi---7
City/Zip Code tit$pC?4.a?, jv?v ?SS//'7
Phone 77y-`;Y2Z_
Arch./Engr.
(3 Jj '-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage
On site well
MWCC System
City vater
PRV
Booster Pump
Address
City/Zip Code
Phone #
OFFZCE IISE ONLY
FEES W
Bldg. Permit
Surcharge 4/, ? '3
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIISTOTAL
Penalty
_ Lot Change
_ TOTAL ? .aAPPROVALS
Planner
Council
Bldg. Off.
Variance
Sewer/Water Licensed Contr.
agrees that all woTk shall be done in accordance with
( ature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
s. '
EAGHN TOFTNSHIP
3795 Pilot Knob P,oad
St. Paui, Minnesota 55211
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTTON
DATE: May 9, 1969
OWNEP.: Cedar Grove Const.
PLUMBER Stein Plumbing
NUMBER kg& 395 _
Address 3981 Peridot Path /C) 7-(p
TYPE OF pIPE ., Cast Ixon
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential I Multiple Dwelling I No, of units
i I g I I One
Location of Connections:
Permit Fee 7.50 pd.
SCreet Repairs
Total
Inspected by:
Date
Remarks•
Connection Charge 200.00 pd.
By. Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordaace with the rules aad
regulations of Eagaa Tocinship, Dakota CounCy, Minnesota
By Stein Plumbin Co.
Please notify when ready for inapection and connectioa and before any portion
of the work is covered.
?. .
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERtnT EOR WATER SERVICE CONNECTION
Date: May 9. 1969 Number: ?'_72
Billing Name: Cedar Grove Constr.
Owner: Cedar Gzwe Caastruction Co.
Plumber:Stain Plumbing
Site Address:3981 Pesldot Path i? ---?- G
Bflling Address 7343 Honcard Blvd.
Meter Size-"" [Connection Cbg. 210.4' pd.
Meter No,,?P/ Pexmit Fee 7•50 '-'d•
I Meter Dep.
Meter ReadingA
Meter Sealed: Yes_ IAdd'i Chg.
NO ITotal Chg.
Building is a:
Residence
Multiple go.
Commercial
Industrial
Other
Inspected by
Date
Remarks:
sy:
Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby ugree to do tlm proposed work in accordance with the rules and
regulations of Sagan Township, Dakota County, Minnesota.
By: Stef.n PLumbing
i°???%Le? CG:???
Please notify the above office when ready for inspection and connecCion.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: suiLoiwG
3830 Pilot Knob Road Permit Number: 021628
Eagan, Minnesota 55123 Date Issued: 0 7/ 3 0/ 9 3
(612) 681-4675
SITEADDRESS: Lor: ie eLocK: 7 APPLICANT:
3981 PERIDOT PATH GENE'S NOME CARE & REPAIRS
CEDAR GROVE 6TH (612) 454-3402
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
DESCRIPTION
REPAIR
ROOFING
FINAL
?
7
_. ?
PERMIT ?
CIY OF EAGAN
383t ilot ?,iob Road
Eaga , Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
C ?U?-IN°G'.?
021628
07/30/93
SITE ADDRESS:
3981 pERIDOT PATH
LOT: 10 BLOCK: 7
CEDAR GRpVE 6TH
P.I.N.: 10-16705-100-07
DESCRIPTION:
r--,\- ROOFING
dui.ldin`g Permit Type
y
Building Wprk Type
)
/(I >
v
SF (MISC.)
REPAIR
' i F-?
??- -
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$45.00
$1.00
$46.00
CG????$AbFI?CARE
2017 FLIMT
EAGN
(612) 454-3402
- Rppiicanc - si. L1U
& REPAIRS 14543402 0002715
LN
MN 55122
$2,000
HOFF JERALD
3981 PERI007 PATH
EAGAN MN 55122
(612)454-6215
?
I hereby acknowledge that I have read this
information is correct and agree to,comply
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
applfcation end state that the
with a7,1 applicable State of Mn.•
?
?A1Kf1 I1?. II I LLI
SUED V: IGNAT RE
REACTIVATE _ CITY OF EAGAN
PERMIT N JJ ???I"?? 1993 BUILDING PERMIT APPLICATION $?.(,,(?0
L 3 0 ?3 681-4675 .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 7 /A0/ Valuation of work
Site Address: 39f/ 1;q-oeo1aaY l:?1r/?
STREET suire r
Tenant Name: (commercial only)
IAT BLOCK ? SUBD. 6 JL
?QGS.G P.I.D. k
Descri tion of work: ?CC??-Qd>£fC°
The applicant is: ? Owner -0 Contractor ? Other (oesortx)
Name hDllw .T.?/al Phone
Property LAST FIRST '
Owner Address 39F1 ;2z_-1
STREET STE M
Lity State i/?'?'V Zip SS/r?
Company ???'a"s ?e?E C?f s??p?.?' Phone
Contractor Address ?J/7 ?/.vT ?n??? License # 7I Exp. &lz
City ??6?A? State ? Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: "
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Atcessory
? 04 SF Porch ? 09 12-Plex ? 14 fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair E3 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Ptanning
Engineering
REGIUIRED INSPECTIONS
? Site
0 Wallboard
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
? footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 5
Surcharge I
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other ?
Total:
SAC %
SAC Units
vetusc;m: $
EY16?6asemen` sh
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
CITY USE ONLY
L ? BL ? RECEIPT #: 22S
?
SUBD. OJU_ DATE: " j ?'3 a -5
1995 MECHANICAL PL•:RMIT (RESIDENTIAL)
CITY OF EAGAN
#7y77 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction v Add-on fumace
i_?Add-on air conditioning Fireplace conversion (to existing fireplace)
y fa.lic?-- Z1','Gx'?. .
Date:
?
FEES
,-aq«r„?'..is'?fa..= '?"+-.
?? mMiri'ii'rium"?ree?"'-Adci-on/Remodel (existing resid'e"nce only) $ 20:00' -
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outiets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
24.00
6.00 W-/"-
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C?'rv ff-a
SITE ADDRESS:
OWNER NAME: PHONE #: y-? 6Z"?j
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIp: 1-Z-
x
PHONE #: (6112-) 64_
S?GFTA ?PERM l"fEF-
?-
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
1985 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaiAndustrial buildings.
? muiti-family buildings when separate permits are p2t required
for each dwelling unit.
DATE:
WORK TYPE:
CONTRACT PRICE:
NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ? $25.00 minimum fee Ql 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
511 E AuuRts5:
OWNER NAME: TELEPHONE #:
TENANT. NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
arir:
PHONE #:
SIGNATURE:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA095452
Date Issued: 08/16/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3981 Peridot Path
Lot: 10 Block: 7 Addition: Cedar Grove 6th
PID:10-16705-100-07
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Paul Koepeke
7402 Washinaton Ave
Eden Prairie. MN 55344
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Centraire Heating & Air Conditioning Jerald J Hoff
7402 Washington Ave 3981 Peridot Path
Eden Prairie NIN 55344 Eagan MN 55122
(92)941-1044
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA095454
Date Issued: 08/16/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3981 Peridot Path
Lot: 10 Block: 7 Addition: Cedar Grove 6th
PID:10-16705-100-07
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector.
952-445-2840
Paul Koepeke
7402 Washinaton Ave
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Centraire Heating & Air Conditioning Jerald J Hoff
7402 Washington Ave 3981 Peridot Path
Eden Prairie NIN 55344 Eagan MN 55122
(92)941-1044
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115207
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 3981 Peridot Path
Lot:10 Block: 7 Addition: Cedar Grove 6th
PID:10-16705-07-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Kral
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerald J Hoff
3981 Peridot Path
Eagan MN 55122
(651) 454-6215
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
*1-)C c)°
*1S3,9 n CSS
RECEIVED
JAN 1 11016
Use BLUE or BLACK Ink
L
For Office Use t ,,
Permit #: ,L' �VI LD
1
Permit Fee: ..00 • 00
Date Received:I " 1 I
Staff:b
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I l.P Site Address:
Tenant:
c19,0 'e VV+ c
Suite #:
cr Phone: LS I -/ /0R15
Address / City / Zip: ? i C6 1
Name:
`
(�1
t.),7 a\ N k/ License #: [L' `I { 5 !J
Address: - V is ci\ (►riGj,A,At. t\ ..f ley: E € n \ t [
State:
Zip: S5 3 J L
Phone:
Contact: fit'\ P twb5' Email:
Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
)(Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) ,,-
$60.00 Lawn Irrigation (includes Stateuicfiargej
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ ZOO • 00
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
FOR OFFICE U
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143723
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 3981 Peridot Path
Lot:10 Block: 7 Addition: Cedar Grove 6th
PID:10-16705-07-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerald J Hoff
3981 Peridot Path
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature